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Medium-Term Results of a Modern Metal-on-Metal System in Total Hip Replacement

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Arthroplasty 2000

Summary

Since 1988, metal-on-metal articulation has been reintroduced into hip arthroplasty as an alternative to metal-on-polyethylene or ceramic-on-polyethylene components. Modular joint surfaces were developed for the second-generation metalon-metal articulation using still introduced and proven prosthetic implants. Seventy- eight uncemented total hip replacements were followed up in a prospective study since 1990 with a mean follow-up time of 60 months. Three patients were lost to follow-up. The average age of the patient at the time of surgery was 48.8 years; 33 patients had been operated on previously. No early infections occurred; 1 late infection occurred after 3 years. Dislocation of the prosthesis occurred in 1 patient who was lost to follow- up. In 2 patients, ectopic ossifications were removed 17 and 27 months postoperatively, respectively. At the last follow-up examination, the Harris hip score was 96.8 points on average. There was no evidence that the metal-on-metal articulation gave rise to new problems or complications. Metal-on-metal articulation reduces wear considerably in the author’s previous experience. It is hoped that foreign-body reactions are significantly reduced so that a hopeful alternative for total hip replacement in younger and active patients is now available.

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  1. Orthopaedic Department, Zeisigwaldkliniken Bethanien, Zeisigwaldstraße 101, 09130, Chemnitz, Germany

    Michael Wagner

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  1. Department of Orthopaedic Surgery, Nagoya City University Medical School, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan

    Nobuo Matsui M.D. (Professor and Chairman), Yoichi Taneda M.D. (Associate Professor) & Yukio Yoshida M.D. (Assistant Professor) (Professor and Chairman),  (Associate Professor) &  (Assistant Professor)

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Wagner, M. (2001). Medium-Term Results of a Modern Metal-on-Metal System in Total Hip Replacement. In: Matsui, N., Taneda, Y., Yoshida, Y. (eds) Arthroplasty 2000. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68427-5_6

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  • DOI: https://doi.org/10.1007/978-4-431-68427-5_6

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